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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE * Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00*4:30 · Phone: (503) 588-5147 · 24-HR inspection Line: (503) 568-7904 <br /> <br /> ELECTRICAL PERNIT <br />~ATE/TTN~ : 12/2~/95 12:5~ PERHIT HO 95-18500 <br />OCCUPANCY : R-~ ISSUED 12/26/1~95 <br /> TO EXPIRE <br /> <br />: SE'R¥/2/CIR <br /> <br /> 14592 OTT~AY RD NE AR <br /> <br />[,kiSS STREET = 99E <br /> <br />OWNER NAME : S(30TT~TOM <br /> <br />APPLICANT <br />NAME <br />ADgRES~ : 7B0 S IVY ST <br /> <br /> CANBY. OR <br /> PHONE : 268-7878 <br /> <br />{~ONTRACTOR <br /> PHONE : <br /> <br />FIECTRICIAIq <br /> PHONE = ~6-7$78 <br /> <br />SIIP¥~L.,E~ <br />PHOHE <br /> <br />CITY: AURORA <br /> <br />77013 <br /> <br /> OCCB: 0~26071 <br /> <br /> 21 <br /> StiIPE~¥ISO~ LICENSE: <br /> <br />Units l)escr~._p~ion ~ [I, F'em <br /> <br /> 2 Branch cir'cu~'ts 4.0~ <br /> 1 orate surcharge ~.70 <br /> 1 ~e~und 00 <br /> <br /> Assessed fees ,~. <br /> Ad j;us~nmn~s ,, 00 <br /> To~,al fees <br /> Total payments: 56.70 <br /> PAYEE: CANBY EI..ECTRI~ INC Bal:ance cite : .00 <br /> <br /> THIS PERHZT IS HON-TRANSFERABLE AND EXPIRESi 188 ~YS FRON ISSUE DATE IF NORK HAS <br /> CO~HEHCED~ORIF CONSTRUCTIGH CEASES FOR A PER,OD OF 180 DAYS. OR IF <br />' FfllLSTO:HEET ALL. REGUIRENEHTSOF STATE LAWS ~N~ NARION COUNTY ORDINANCES. UPON <br /> :~RITTE'NRE~UEST~.: ON~ sIXfiOHTH EXTENSION NA~ BE ~;RANTED. <br /> $IGNATURE OF APPLICANT: ................... ~ ...................................... <br /> <br /> I)OHDALQ E WOOBLEY, MARION {~OUNTY BUILQINBI; OFFI".,[AL / 3BY M~ULL <br /> <br /> <br />